Wechsler J, Jedlicka V, Kerwitzer J, Novotný J, Pavlík M, Pestál A, Capov I
1st Dept. of Surgery, St. Anna University Hospital, Brno, Czech Republic.
Acta Chir Hung. 1999;38(1):53-5.
We present a case of pulmonary arteriovenous malformation (PAVM) in central localisation (type IIIa) of the upper lobe of the left lung. We discuss diagnostic (Doppler ultrasonography, CT, MRI, angiography) and therapeutic (embolization therapy) options and a current role of surgery in this uncommon clinical condition. Our patient underwent left upper lung lobectomy as an ultimate therapeutic method without subsequent morbidity. We conclude that surgery is a safe method of treatment of pulmonary arteriovenous malformations in selected cases i.e. when PAVM is solitary and of great diameter (more than two centimeters) and where the risks of embolotherapy are high.
我们报告一例左肺上叶中央型（IIIa型）肺动静脉畸形（PAVM）病例。我们讨论了诊断方法（多普勒超声、CT、MRI、血管造影）和治疗选择（栓塞治疗）以及手术在这种罕见临床病症中的当前作用。我们的患者接受了左上肺叶切除术作为最终治疗方法，术后未出现并发症。我们得出结论，在某些特定情况下，即PAVM为孤立性且直径较大（超过两厘米）以及栓塞治疗风险较高时，手术是治疗肺动静脉畸形的一种安全方法。
